Mary L. Daviglus

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

ME0040734 Issued in FL

Legal business name

MARY L. DAVIGLUS

Practice address

8751 Commodity Cir
Suite 16
Orlando, FL 32819-9027

Phone

(407) 964-1334

Fax

(407) 730-5917

NPI assigned

Aug 31, 2006

Last updated

Jul 16, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Mary L Daviglus, M.D.,P.A.NPI 1821109000

Title

Anesthesiologist

Phone

(407) 240-6323

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mary L. Daviglus, M.D.,P.A. Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary L Daviglus, M.D.,P.A.

  • Anesthesiology Physician
  • Orlando, FL
  • NPI 1821109000
  Authorized official Same address or phone
• Mont J Cartwright, MD

  • Ophthalmology Physician
  • Kissimmee, FL
  • NPI 1023003290
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1083726574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8751 COMMODITY CIR",
            "address_2": "SUITE 16",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199027",
            "telephone_number": "407-964-1334",
            "fax_number": "407-730-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8751 COMMODITY CIR",
            "address_2": "SUITE 16",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199027",
            "telephone_number": "407-964-1334",
            "fax_number": "407-730-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY L. DAVIGLUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "DAVIGLUS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ANESTHESIOLOGIST",
        "authorized_official_telephone_number": "407-240-6323",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D.,P.A."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME0040734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061862400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary L. Daviglus, M.D.,P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinic/Center in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.